International College of Surgeons (ICS)

PDF Membership Form

Please print, complete, and then scan and email to If you have any questions on the process, please feel free to reach out to Patricia Binfa, Membership Director, by emailing for assistance.

In addition to the form below, you must submit the required documentation of your Curriculum Vitae and Certificate of Medical School Completion. Please attach the documents as a PDF, DOC, DOX, or JPG for review by our membership staff when you send the application form.

Click here to download the ICS Membership Application


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